HomeMy WebLinkAboutSWG2024-00161 - SWG Application / Design - 4/22/2024 584
® MASON COUNTY 415NBSHELTON: 60427-O70,EXT 400
$HELFAIR 360i2]A6]0,EXT 400
BELFAIR:380-2]5448],EXi 400
Public Health & Human Services ELMA:360d8 5269,EXT K0
FAX:36 27-7767
On-Site Sewage System Permit: SWG2024-00161
APPLICANT Greg Steckler Phone:
Address: 5915 55th St E UNIVERSITY PLACE,WA 98467
OWNER O'BRIEN ET UX DAVID Phone:
Address: MARYANN SHANGKUAN EL CERRITO, CA 94530
SEPTIC DESIGNER DALE TAHJA-Septic Designer Phone: 360-426-5940
Address: 2450 W DEEGAN ROAD WEST SHELTON,WA 98584
Site Address: 240 N Mountain View Dr
Primary Parcel Number: 422095400052
Pennit Description: New SFR-3BR Sand Lined Pressure Bed
Permit Submitted Date: 04/22/2024
Permit Issued Date: 05/07/2024
Issued By: Jeff wilmoth
Current Permit Fees Paid: $805.00 (adduronal fees may be reaenred upon installation of swwm)
Permit Expiration Date: 05/06/2027 (basedondafeofinspection)
Permit Conditions:
1 Proposed development subject to zoning requirements and approval by the planning
department staifper Mason County Title 17.
2 Permit must be installed by a Mason County Cam'fied Installer unless prior written
authorization from Mason County is obtained.
3 Drainfield installation not to exceed designed upslope and downslope depth specified on
design form.
4 Installer is responsible for obtaining Mason County installation approval prior to back0ll of
system components.
5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to
backffll ofsystem components.
6 Mason County Asbuilt Form, Record Drawing,and Installation fee must be submitted for
final installation approval.
THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS.
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS.
THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED.
FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES.
For Final Inspection visit: masoncountywa.gov/healthienvironmentallonsiteloss-inspection-request.php or call:
360-427-9670,extension 400.
OFFICIAL USE ONLY
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ON-SITE SEWAGE SYSTEM APPLICATION
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Greg Steckler (253) 365-5090 ,— c
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5915 55th St. E. University Place WA 98467 n a
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240 N. Mountain View Dr. Hoodsport WA 98548 3
W.ME OP DESIGNER PRONE j I N
Dale L. Tahja (360) 426-5940
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SOW" ❑SURFACING SEWAGE 13 EXISTING FAILURE ❑SHOREUNE m
ZDESIGN FORM(REQUIRED) IMSEPTC DESIGN(REQUIRED) EEDROOMS LOTSEE 0 I 'p
ffhAIVER(S)(IFAPPLICABLE) 3 0.25 acre x '
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Go to Hoodsport, left on Lake Cushman Rd., lefton Fairway Dr., right on Mt. View Dr„
property on the right. O I`' �2 �I�I Llii L o 10
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RECORDDRA'MNGMDINST.LLIA REPORT
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V=V W G=GRIN y S-&W) L=LOAM &•SILT C=CLAY E=EXiRE1.ELY R=ROOTS REWIREOFCRFINLLIIL
C 9NWATIIRE DATE APPLICATION EIPMUTNIN MR ATIONAPPROVEW I5511Ep 8T OATE
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DESIGN FORM—PAGE ONE Assessor's Parcel Ntunber: 4 2 2 0 9 — 5 4 — 0 0 0 5 2
A design will be reviewed when 3 mules of once of the following are submitted:
Completed design form that has been signed and dated. 0 Scaled layout sketch,including all applicable items on checklist
Scaled plot plan,including all applicable items on checklist. I Cross-section sketch,including all applicable items on checklist.
This farm be manned and avesabtafor view on the Moon Cau Web Yee.Maximum r stze: 11"X 17"
,t 4 6�
Permit Number: SWG 2DIV— 00((pl Designer's Name: Dale Tahja
Applicant's Name: Greg Steckler Designer's Phone Number: (360)4265940
Mailing Address: 5915 55th St.E. Designer's Address: 2450 W Deegan Rd W
Unbeisay Place WA 98467 Shelton WA 98584
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Treatment Device
❑Glendon Nofilter ❑Sand Filter ❑Mound SK Send Lined Dteinfield ❑Recirculating Fiber,Type:
❑Aerobic Unit Mak JMode1 ❑Disinfection Uvit Make/Model Other:
Drainfield Type
❑Gravity 9Pressure ❑Trench S(Bed ❑Sub Surface Drip
Septic Tank/Drainfield Specifications Laterals
Number ofBedroonms 3 Schedule/Class Sch.40
Daily Flaw:Operating Capacity 270 gpd Length 28,36.42 ft
Daily Flow:Design Flow 360 gpd Diameter 1.25 in
Septic Tank Capacity(working) 1,200 gal Number 3
Receiving Soil Type(1-6) 1 Separation 3.33 ft
Receiving Soil Appl.Rate 1.0 gpd/fO Orilici s
Required Primary Area 360 ft' Total Number of Orifices 54
Designed Printery Arm 360 ftt Diameter 1/8 in
Designed Reserve Area 360 ft' Spacing 21 in
Trench/Bed Width 10 ft Manifold
Trench/Bed Length 36 R Schedule/Class Sch.40
Elevation Measurements Length 6 it
Original Dminfield Area Slope 0 % Diameter 1.5 in
New Slope,If Altered 0 % Preferred manifold configuration used? []Yes htf No
Depth ofExcavmion UpWl 45 in Transport Pipe
from Original Grade pecan_, 45 in Schedule/Class Sch.40
Designed Vertical Separation 24 in Length 10 it
Gravelless Chambers Required? ❑Yes 16 No 0 Optional Diameter 2 in
Pump Require .f
d? m Yes 0 No Dining and Pump Chamber
Pump/Siphon Specifications Number ofdoses/day 4
Diff.in Elevation Between Pump&Uppermost Orifice 5 It Dose quantity 67.5 gal
Dninfield Squirt Height/Selected Residual(head) 5 it Chamber Capacity(flood) 1,000 gal
Uppermost Orifice dFligher 0 Lower than Pump Shutoff PAP controls:Please check those required.Capacity®Total Pressure Head 26 gpm Timer fil(Elapse Meter a,y
Event Counter
Calculated Total Pressure Head 16 ft If 2.6 mkn. ,Pump off 5 hm 57.4 min.
Comments
AN
MASON COUM'AY 07 ?0 4 _
jaw LHEALT,
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DESIGN FORM—PAGE TWO Assessor's Parcel Nunber:4 2 2 0 9 — 5 4 — 0 0 0 5 2
Permit Number: SWG
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
R1 Test hole locations [Z DrainSeld orientation and layout Reference depth from original grade:
A Soil logs 5d Trench/bed dimensions and 56 Septic tank
19 Property lines critical distances within layout 61 Drainfield cover
19 Existing and ❑ D-BoxNalve box locations depth from original grade
proposed wells Reference
within 100 ft of property 0 Septic tanVpump chamber and restrictive strata:
m Measurements to cuts,banks,and locations W Laterals,trench/bed,top and
surface water and critical areas 69 Observation port location bottom
ill Location and orientation of 66 Clean-out location ❑ Curtain drain collector
curtain drain and all absorption E6 Manifold placement fig Sand augmentation
components 66 Orifice placement Other cross-section detail:
ig Location and dimension of R1 Lateral placement with distance 9 Observation ports/clean-outs
primary system and reserve area to edge of bed Other Information
id Buildings 66 Audiblelvisual alarm referenced Yes No
id Direction of slope indicator Sd Scale of drawing shown on scale Of ❑Design staked out
id Waterlines bar ❑ ❑RecordedNmices attached
16 Roads,easements,driveways, ❑ ❑Waiver(s)attached
perking 16 ❑Pump curve attached
Ed North arrow and scale drawing ❑ ❑Evaluation of failure
shown on scale bar Non-residential justill"tion
❑ ❑ Waste strength
❑ ❑Flow
DESIGN APPROVAL
The undersigned designer \musttbbe notified.b.YlJ",taller at time of installation
R1 Yees, ❑ No
Signature of Design"'ee� Date
The undersigned has reviewed this design on behalf of Mason County Public Health and dete in �fiyCS
compliance with state and local o -site regulations: . IDS
J �y• � H� 'ai:. 1�Jw
En mhtlkdtal Heath Spocialist _ Date bM�lyb tan w
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CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDNo
✓ The design is stamped"Approved"by Mason County Public Health. 'I
✓ The Onsite Sewage Pewit has not expired,the Permit Expiration Date is: q'�
✓ Drainfield site conditions have not been altered to adversely affect conditions of design appro
Please Note: The system must be installed by a certified hutaller,
unless prior authorization is obtained Ip1 0 County
unty Public Health.
jjAn Installation Fee is required. MAY 07
This form may be scanned and available for public v "M C'6-'6WNmE U Date:12/7/2015
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Media Gallery X
Liberty Pumps 280 - 1/2 HP Cast Iron Submersible Sump/Effluent Pump (Non-
Automatic)
Performance Curve: 280-Series
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Installation/Maintenance
Pressure Distribution/Bed Systems
1. Install bed bottom level and in contour with the ground.
2. Install drainfield during dry weather and soil conditions.Any soil smearing must be
eliminated by hand raking any areas that get smeared.
3. Install audiovisual high-water alarm.
4. Install effluent filter in septic tank outlet or pump vault with 1/1 6-inch maximum
filtration mesh size.
5. Install check valve in pump outlet line to prevent back-flow into the pump chamber.
6. Install 1/8-inch orifices on 21-inch centers. Install the orifices pointing straight down
(6:00 6 clock).
7. Divert all storm water run-off away from septic system components.
8. No curtain (french) drains allowed within 10ft. of the up-slope edge of the drainfield and
reserve area.
9. No curtain(french) drains allowed within 30ft. of the down-slope edge of the drainfield
and reserve area.
10.Have the septic tank and pump chamber pumped or inspected every 3 to 5 years.
11.Inspect and clean pump screen as needed.
12.Inspect floats and test high water alarm every 6 to 12 months or as needed.
13.All material and workmanship must meet County and State requirements.
14.Install risers on septic tank and pump chamber.
15.Deviation from this approved design without prior approval from the Designer and
Mason County Health Department will make this design null and void.
16.The prepared Site Plan is not a survey, it is the owner's responsibility to verify property
line locations prior to installation. Any discrepancies must be reported to the Designer
immediately.
17.Locate all utilities prior to starting installation.
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